Walking For Jimmy 2024

Saturday, 25 May 2024, 07:00 - 19:00

Richmond Athltic Club View Map

My Details

First Name *

Last Name *

Date Of Birth *

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Male Female *

My Contact Details

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My Address

Address Line One *

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Emergency Contact Information

Emergency contact Name? *

Emergency contact Number *

What is their relationship to you? *

Medical Information

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T-shirt Size *

Please select where you will be starting from *

Mizen Foundation Water Bottle

�10.00 additional charge

If you have a discount code, enter it here

I would like to raise *

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CREATE FIND

I agree to participate in this event entirely at my own risk. I agree that The Mizen Foundation shall not be liable in any way for any injury, loss, damage or death resulting from participation in the event. I agree that I am unaware of any medical condition or other reason why you should not participate in the event.�THE MIZEN FOUNDATION STRONGLY RECOMMENDS THAT ALL PARTICIPANTS SEEK MEDICAL ADVICE BEFORE STARTING THEIR CHALLENGE AND TAKE OUT PERSONAL ACCIDENT AND MEDICAL INSURANCE FOR THIS EVENT.
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Participation in some of the charity’s events requires a minimum pledge, which will be highlighted at the point of registration. I pledge to raise the minimum amount of sponsorship required to participate in the event. 

By participating, I confirm that I am happy for any photographs and videos to be taken during this event to be used by The Mizen Foundation to publicise future events and The Mizen Foundation generally.�
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If the event is cancelled, a full refund will be offered (excluding the registration fee). By registering, I confirm that you have read and understood the terms and conditions set out above and consent to The Mizen Foundation holding my personal details confidentially for the express purpose of participating in the event.�

I have read and understand the Terms & Conditions *

Walking For Jimmy 2024

My Details

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